Photos of actual cases taken from the archives since 1978.

Pictures 1-3 demonstrate several issues (1) lower arch crowding…teeth are all different heights (2) upper arch shows great differences in gum height, tooth shape and contour creating a total lack of symmetry . The uneven color is caused by old fillings and root canal treatment.

#1 & 2 These pictures demonstrate severe wear from grinding-the translucency (grayish tones) were caused from chemical erosion (drinking pop,gastric reflux). When a worn dentition is present the 2 front incisors are shorter then the eye teeth or cuspids. The result of all this wear causes the patient to “over close “.

#3 photo demonstrates this by the lack of visible teeth showing and deep facial wrinkles when smiling.

#4 & 5 These pictures demonstrate the result after porcelain restorations were placed only on the top-correcting the collapsed bite and thin gray teeth .

#6 The deep wrinkle lines have diminished -a beautiful broad and natural smile is the result. The worn smile is gone replaced with a more youthful one-creating a facelift effect without the surgery

These 2 photos give an overview of the life changing effects implant and reconstructive dentistry play in a persons life. The before and after pictures are of a young woman born without teeth on top and missing some permanent teeth in the lower. The first picture demonstrates this -as she presents with a full upper denture and lower malposed and poorly shaped dentition. 4 implants were placed in the upper arch after which a hybrid “all on 4” appliance was screwed into place. To restore the lower arch 3 implants and 12 porcelain crowns were placed. This restored the patient’s function and cosmetics creating a lifelike result.

Single tooth implant replacement…from start showing the hopelessly decayed ( gray) tooth to its removal and placement of a custom temporary . Once the implant was placed and healed a custom zirconia ( tooth colored) abutment was screwed down to the implant and a very translucent and natural all porcelain crown was cemented creating a lifelike result

The above eight pictures outline start to finish the cosmetic rehabilitation of a severely worn and chemically eroded dentition.

After Zoom (teeth whitening) eight veneers were prepared and placed creating a very natural lifelike result.

The final post-op photo looks like he was born with that smile!

All the teeth were removed in the upper jaw due to decay and bone loss. 4 implants were placed as seen in the picture of the upper working model. An acrylic full upper appliance was fabricated with a titanium bar inside – this was screwed on to the 4 implants – creating a beautiful and lifelike result.

All on 4 -Teeth in a Day hybrid implant prosthesis

6 veneers were placed after zoom whitening restoring an ideal shape, size, color and tooth contour. Note how midline and tissue contour has been corrected.

Photo 1: Patient presented upset about her smile. It was clear that the midline was off, the gum tissue was misaligned and each tooth was a different size, shape, and color. Photo 2: I used this photo to demonstrate to the patient and lab how improvements were to be made. Tooth sizes, shapes and proportion were selected presenting desired result. Photo 3: Temporaries were placed after the teeth were prepared for the veneers, correcting many of the issues the patient initially presented with. Photo 4: Photo taken immediately after the 6 Veneers were placed. The ideal shape, size, color and contour have been achieved. Note how the midline and tissue contour have improved. 5 & 6: These two photos have been taken after 10 Veneers were placed.

Patient presented with poor fitting anterior porcelain to metal crowns ( note the black at the gum line ) and severe cracked and malpositioned lower anterior teeth. The patient’s teeth were whitened using Zoom bleaching-porcelain crowns were placed in both areas creating an ideal natural result.

Patient presented with 2 unattractive porcelain to metal crowns, note how irritated the gum is around them. Post Op a completely natural result with 2 porcelain crowns, note how the gum has healed completely.

Two three unit bridges were replaced from porcelain to metal (dark at the gumline to all porcelain bridges) giving the patient a youthful smile

One implant and four all porcelain restorations changed this persons life from being afraid to smile to smiling constantly

This picture demonstrates instant orthodontics achieved using bleaching and six porcelain laminate veneers. Note the realistic translucent edge of the front incisors as well as the natural lip contours.

Another demonstation of instant orthodontics utilizing bleaching and twelve porcelain laminate veneers. Note how the teeth now have more ideal symmetry in size, shape, and contour. Also, note the improvement in the gum tissue.

Another case of instant orthodontics displaying both the front and top views before and after the procedure. Once again, note how the gum tissue has improved as the position of the teeth have changed.

Another case of instant orthodontics displaying both the front and top views before and after the procedure. Once again, note how the gum tissue has improved as the position of the teeth have changed.

Another demonstration of instant orthodontics utilizing bleaching and twelve porcelain laminate veneers. Note how the teeth now have more ideal symmetry in size, shape, and contour. Also, note the improvement in the gum tissue.

This picture demonstrates instant orthodontics achieved using bleaching and six porcelain laminate veneers. Note the realistic translucent edge of the front incisors as well as the natural lip contours.

After Invisalign: Teeth still poorly shaped and discolored. No existing symmetry from left to right. After veneers were placed: Picture taken same day that a total of twelve veneers were seated, six on top and six on bottom, showing slight gum irritation. The result: contour, alignment, and color were greatly improved; plus note incisal translucency.

Pre-op: Poorly placed bonding and obvious recurrent decay are visible. Patient never smiled due to lack of lip contour; premature wrinkles could be seen.

Pre-op pictures: Thick poorly placed bonding making teeth look short, fat, and unattractive. With this dentition, the patient looks twenty years older. Post-op pictures: Ten veneers later, the teeth are correctly proportioned, the gum tissue is healthy, and the symmetry and tooth size are both restored. The patient has regained his youthful smile.

Pre-op pictures show worn dentition, irregular gum height, a porcelain to metal crown which looks too opaque, and tooth symmetry, size and contour that are incorrect by a wide margin. Post-op pictures: This patient did not want surgery to correct gum height. These pictures were taken the day ten veneers were placed. Note the dramatic improvement in tooth symmetry, contour and color.

Pre-op pictures: This patient was actually attempting day to day functions such as speaking and eating with great difficulty. This is an older patient showing severe breakdown and worn dentition. Post-op pictures: 16 crowns, 4 extractions, and a lower removable partial denture later, the patient shows off his youthful restored smile.

Pre-op photos show severely worn teeth and porcelain to metal crowns. (Restorations which lack cosmetic appeal) Bleaching, ten veneers, and four visits later, a dramatic improvement is visible. First photo: After orthodontia was removed the teeth are in an ideal position for future veneers. Second Photo: After veneers were placed, a photograph of the occlussal view is taken to demonstrate how the veneers wrap around the teeth. This also demonstrates how the closed spaces created an ideal perimeter. Third photo: Frontal view demonstrates a total of eight veneers in place, bleaching results, and an overall healthy gingival, or gum response.

First photo: After orthodontia was removed the teeth are in an ideal position for future veneers. Second Photo: After veneers were placed, a photograph of the occlussal view is taken to demonstrate how the veneers wrap around the teeth. This also demonstrates how the closed spaces created an ideal perimeter. Third photo: Frontal view demonstrates a total of eight veneers in place, bleaching results, and an overall healthy gingival, or gum response.